NPI | 1144284704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD424433) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD424433) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2024-04-03 |